4 ms·
> Of course as an individual health plan member that won't tell you your out-of-pocket cost for a particular service If I can't get this, there's no price tran
by lukeschlather 2y ago
> Of course as an individual health plan member that won't tell you your out-of-pocket cost for a particular service
If I can't get this, there's no price transparency. Of course it's even worse than this in practice, since not only can no one tell me my out-of-pocket cost for a service I'm about to purchase, they can't tell me what the negotiated rate is going to be, and it could be over a year before anyone can tell me either the negotiated rate or my share of the negotiated rate. (Odds are it will take at least a month and these figures will be renegotiated multiple times before I get a bill.)
- nradov 2y agoIf you're a health plan member then you can access consumer price transparency data through their mandatory comparison shopping tool. https://www.cms.gov/healthplan-price-transparency/consumers https://www.cms.gov/healthplan-price-transparency/consumers Reimbursement rates are negotiated between payers and network providers at most once per year. Rates don't change monthly.